| West Covina Healthcare Center | |
| 850 S. Sunkist Ave., West Covina, California 91790 | |
| (626) 962-3368 | |
| Name | West Covina Healthcare Center |
|---|---|
| Location | 850 S. Sunkist Ave., West Covina, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 97 |
| Occupancy Rate | 92.68% |
| Medicare ID (CCN) | 055992 |
| Legal Business Name | Ag West Covina LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Cambridge Healthcare Services (32 nursing homes) |
| Chain Average Overall Rating | 2.5 out of 5 |
| NPI Number | 1326032814 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Ag West Covina, LLC |
| Doing Business As | West Covina Healthcare Center |
| Address | 850 South Sunkist Avenue, West Covina, CA 91790 |
| Phone Number | 626-962-3368 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.01 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.49 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.01 | 0.86 |
| Nurse aide hours per resident per day | 2.51 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.63 | 3.42 |
| RN hours per resident per day on the weekend | 0.36 | 0.48 |
| Physical therapist hours per resident per day | 0.13 | 0.07 |
| Total nursing staff turnover | 40.4% | 45.8% |
| Registered nurse turnover | 50% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 3 |
| Total Amount of Fines in Dollars | $78,978 |
| Number of Payment Denials | 2 |
| Total Number of Penalties | 5 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| May 7, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by May 29, 2026 |
| Apr 23, 2026 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. F0573, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by May 15, 2026 |
| Jan 2, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jan 23, 2026 |
| Dec 5, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Dec 26, 2025 |
| Dec 5, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Dec 24, 2025 |
| Dec 5, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Dec 26, 2025 |
| Dec 5, 2025 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 26, 2025 |
| Dec 5, 2025 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 24, 2025 |
| Dec 5, 2025 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Dec 26, 2025 |
| Dec 5, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 26, 2025 |
| Dec 5, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 26, 2025 |
| Dec 5, 2025 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Dec 16, 2025 |
| Dec 5, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Minimal harm potential, pattern | Corrected by Dec 26, 2025 |
| Dec 5, 2025 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912, Environmental, Standard inspection | Minimal harm potential, pattern | Corrected by Dec 6, 2025 |
| Jul 25, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Aug 18, 2025 |
| Dec 27, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jan 17, 2025 |
| Oct 3, 2024 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Oct 25, 2024 |
| Oct 3, 2024 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Oct 25, 2024 |
| Oct 3, 2024 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Oct 25, 2024 |
| Oct 3, 2024 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Oct 25, 2024 |
| Oct 3, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Oct 25, 2024 |
| Oct 3, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 25, 2024 |
| Oct 3, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 25, 2024 |
| Oct 3, 2024 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 25, 2024 |
| Oct 3, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 25, 2024 |
| Oct 3, 2024 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 25, 2024 |
| Oct 3, 2024 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Oct 25, 2024 |
| Oct 3, 2024 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912, Environmental, Standard inspection | Minimal harm potential, pattern | Waiver has been granted |
| Jul 3, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jul 26, 2024 |
| Jun 24, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Jul 17, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.25 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.68 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.31 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.1 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.2 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.53 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 6.5 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.68 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.48 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 4.53 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 0.96 | 15.38 |
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